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PHASE 2013-2014 Course Syllabus (rev11-6-2013) Page 1 of 22 Public Health Applications for Student Experience (PHASE) Internship Course Guidelines 2013-2014 Round 1 (beginning 2nd term) Table of Content Introduction ............................................................................................................................................. 2 Roles and Functions of PHASE Internship Participants: ............................................................................ 3 Calendar of Important Dates/Meetings:................................................................................................... 7 Appendix A: PHASE Internship Check-list ................................................................................................. 8 Appendix B: PHASE Internship Agreement Form...................................................................................... 9 Appendix C: Guidelines for Writing a Concept Paper ............................................................................. 12 Appendix D: PHASE Internship Mid-point Progress Report .................................................................... 13 Appendix E: PHASE Student Monthly Update Report............................................................................. 15 Appendix F: Oral Presentation Evaluation Form..................................................................................... 16 Appendix G: Student Performance Evaluation ....................................................................................... 18 Appendix H: Final Evaluation .................................................................................................................. 22

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Page 1: Public Health Applications for Student Experience (PHASE ... · PHASE 2013-2014 Course Syllabus (rev11-6-2013) Page 2 of 22 Public Health Applications for Student Experience (PHASE)

PHASE 2013-2014 Course Syllabus (rev11-6-2013) Page 1 of 22

Public Health Applications for Student Experience (PHASE)

Internship Course Guidelines 2013-2014 Round 1 (beginning 2nd term)

Table of Content

Introduction ............................................................................................................................................. 2

Roles and Functions of PHASE Internship Participants: ............................................................................ 3

Calendar of Important Dates/Meetings: ................................................................................................... 7

Appendix A: PHASE Internship Check-list ................................................................................................. 8

Appendix B: PHASE Internship Agreement Form...................................................................................... 9

Appendix C: Guidelines for Writing a Concept Paper ............................................................................. 12

Appendix D: PHASE Internship Mid-point Progress Report .................................................................... 13

Appendix E: PHASE Student Monthly Update Report............................................................................. 15

Appendix F: Oral Presentation Evaluation Form ..................................................................................... 16

Appendix G: Student Performance Evaluation ....................................................................................... 18

Appendix H: Final Evaluation .................................................................................................................. 22

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Public Health Applications for Student Experience (PHASE)

Internship Course Guidelines 2013-2014 Round 1 (beginning 2nd term)

Syllabus PHASE (Public Health Applications for Student Experience) is a credit-earning graduate internship program offered by the Maryland Department of Health and Mental Hygiene (DHMH) and the Johns Hopkins Bloomberg School of Public Health (JHSPH). PHASE provides JHSPH graduate students with experience and insight as to how public health theory and knowledge can be applied to careers and experiences in public health practice settings. Internship projects are developed based on a true need from public health professionals. The aim of PHASE is to provide students with exposure to and opportunities for real world public health practice to enrich their academic curriculum. Public health practitioners mentor students as they complete projects that range in scope from small focused initiatives to larger more intricate undertakings that can serve as the foundation for a thesis topic or a Capstone Experience. *PHASE Internships fulfill the entire MPH Practicum requirement. Interested students may apply for available internships via https://my.jhsph.edu/Resources/SearchTools/pos. Application deadline is September 17, 2013 and students are notified by October 11, 2013 on their acceptance into the PHASE internship program.

The PHASE internship requirements include:

A public health practice experience involving average of 6-8 hours/week spent at the hosting agency) over 2-3 academic terms

Attendance at the PHASE orientation lunch (Wed, Oct 30)

Attendance at check-in meetings once a term with PHASE course faculty (Wed, Dec 4; Wed, Feb 26; Wed, Apr 16, and other meetings as needed)

Submission of PHASE Student Monthly Update Reports on the 15th of each month

An internship agreement form to be completed with the preceptor (due Nov 8)

A concept paper outlining goals and intent of project (due Nov 25)

A final paper highlighting the student's experience, results, and lessons learned (due Mar 14 or May 5, depending on length of project)

A 15-minute oral presentation of the student's experience at the mandatory final PHASE

symposium (Friday, May 9th, 2014) at DHMH. Symposium attendance includes course faculty, preceptors and other interested public health practitioners and academicians

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Roles and Functions of PHASE Internship Participants: Course Faculty: PHASE Internship Course Director: Beth Resnick, MPH, CPH, [email protected] The PHASE Course Director identifies public health practitioners at DHMH, local health departments (LHDs) or other state or local agencies to serve as project preceptors, providing overall guidance and technical assistance to the student. The Course Director assists preceptors in defining project goals, scope, and specific student responsibilities. The course director is a resource for students and preceptors involved in the PHASE Internship, providing advice and guidance to both the preceptor and student, and assure the student meets all course requirements and adheres to all School policies. Additionally, the Course Director, in conjunction with the preceptor, provides feedback and evaluates student concept papers and final papers and presentations, as well as determines the students’ final course grade. PHASE Internship Program Manager: Jennifer Le, MPH, CPH, [email protected] The PHASE Program Manager (PM) provides guidance to students throughout the internship, and is a resource for student and preceptor questions regarding the course requirements. The PM will maintain the PHASE CoursePlus site and help administer the final PHASE symposium. The PM will also assist with grading, serve as a liaison to other JHSPH resources including the IRB office, and provide feedback to students on their concept paper and final paper. Preceptor: A public health practitioner from the hosting organization who works closely with and directs the work of the students throughout the project. Preceptors review the student’s concept and final paper and presentation, submit mid-term and final student progress reports and provide input on the student’s final course grade. PHASE Student Intern: JHSPH graduate student who works on-site at the agency on a defined PHASE project under the guidance of his/her preceptor and the PHASE course faculty. Note: These guidelines may be modified in individual cases with written approval from the Course Directors.

Overview of PHASE Program Components

Registration for the PHASE Internship Course (550.851.01) In order to receive credit for PHASE, all students are required to register for the PHASE Internship course (550.851.01) for a minimum of 2 consecutive terms. Students will be required to register for at least two credits per term. The number of credits that students register will vary depending on the nature and intensity of the project and will be collectively determined by the course faculty, preceptor and student. The general rule for credits is that four hours of work per week is equal to one academic credit. This course is open to JHSPH graduate students only.

PHASE Internship Procedures (Appendix A) A PHASE Internship Checklist is provided in Appendix A. Students should follow the procedures described below and complete the items on the checklist in the order in which they appear.

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PHASE internship Agreement Form (Appendix B) 5% of final course grade Due: Friday, November 8th, 2013 at 11:59 p.m. The student will complete the PHASE Internship Agreement Form (see Appendix B) with the preceptor. The PHASE Internship Agreement Form describes the terms of the internship, including the roles and responsibilities of the student intern and preceptor, goals and objectives of the internship, and any final deliverables for the project. After the PHASE Internship Agreement Form is completed and signed by all parties, the student will submit the form into the CoursePlus Drop Boxes. Then the PHASE course faculty approves the form and contacts the student with any questions or concerns.

Concept Paper (Appendix C) 15% of final course grade Due: Monday, November 25, 2013 at 11:59 p.m. The student will prepare a concept paper no more than 5 double-spaced pages in length, which must include a scope of work with supporting timeline. Students should follow the Guidelines for Writing a Concept Paper (see Appendix C), under the guidance of their preceptor. Sufficient time should be spent reviewing substantive literature about the topic being addressed and the analytic methods (if any) to be applied. Concept papers must be approved by the preceptor before being submitted. Approval may be written directly on the concept paper as “tracked changes” by the preceptor or by sending an email to the PM. Once approved by the preceptor, the student will submit the paper in to the CoursePlus Drop Boxes. Course faculty will review the concept papers and provide feedback. **For all writing submissions, students must follow either APA or AMA styles for standard references, text, and tables.**

Beginning work on the project After the student has been notified of IRB approval (if applicable, see the section “IRB approval”), the internship agreement form has been completed with the preceptor, and the concept paper has been approved, the student may begin work on the project. Throughout the internship, the student is expected to work on his/her project at the identified agency an average of 6-8 hours per week. On-site work is an important component of the internship, as it is necessary for the student to gain insight into and be directly engaged in the agency’s work and daily activities. Examples of student engagement in the overall workings of the agency include participating in staff or partner meetings, conference calls, etc. The student and his/her preceptor should meet at a minimum, every other week, to discuss the student’s progress on his/her project. It is encouraged that initially, the meetings occur every week, but the final determination regarding frequency will be at the discretion of the preceptor and the student. Regular meetings provide the opportunity to review progress against the timeline, as well as discuss any other issues or questions.

PHASE Internship Mid-point Progress Report (Appendix D) Half-way through the PHASE internship, the preceptor and student will submit an online PHASE Internship Mid-point Progress Report (see Appendix D). Preceptors are encouraged to discuss the details of the Mid-point Progress Report with the student before finalizing the online submission. The PHASE course faculty will review the Mid-point Progress Report.

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Check-in Meetings 5% of the final course grade

Round 1

Date Location Time

10/30/2013 E9519a 12:00-1:30p

12/4/2013 W2017 12:00-1:15p

2/26/2014 W2015 12:00-1:15p

4/16/2014 W2015 12:00-1:15p

5/9/2014 DHMHb 8:00a - 4:00p

aOrientation: Bloomberg School of Public Health. E9519

bPHASE Symposium: 201 W. Preston St. Baltimore, MD 21201, L-3 Conference Room Note: Additional meetings may be scheduled as needed

The student is required to attend the orientation lunch at the start of the term and at least one check-in meeting every term of the internship. These group meetings allow PHASE interns to have the opportunity to hear about and learn from other student experiences and challenges as well as ask questions or express any concerns.

Monthly Update Reports (Appendix E) 5% of the final course grade Due: The 15th of each month of the internship Every month, the student is required to complete a PHASE Student Monthly Update Report (See Appendix E). This gives the student the opportunity to discuss his/her progress as well as any obstacles he/she has encountered. The aim of the monthly report is to allow students to express their thoughts on the progress of their PHASE internship, receive technical assistance as needed, and address any issues.

Final Paper 25% of final course grade Due date: March 14, 2014 at 11:59 p.m. for projects ending 3rd term or May 5, 2014 at 11:59 p.m. for projects ending 4th term The student will be required to prepare a final paper describing their project activities and outcomes. The paper will typically be 10-12 double-spaced pages; however the exact length will be determined by the preceptor and PHASE faculty, and will be commensurate with the appropriate level of detail required to describe project activities and outcomes. The paper should follow the format of a publishable peer-reviewed journal article (e.g., background, methods, results, discussion). The student is encouraged to present a preliminary draft of the paper to his/her preceptor at least two (2) weeks before the final due date to get comments and suggested revisions. The Preceptor must approve the student’s final paper before submission. Approval may be written directly on the final paper as “tracked changes” by the preceptor or by sending an email to the PM. Once approved by the preceptor, the student will submit the paper in to the CoursePlus Dropbox. Course faculty will review the final papers and provide feedback.

Oral Presentation (mandatory) (Appendix F) 25% of the final course grade Due date for PowerPoint Slides: March 14, 2014 at 11:59 p.m. for projects ending 3rd term or May 5,

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2014 at 11:59 p.m. for projects ending 4th term Location of Oral Presentation on May 9, 2014: DHMH, 201 W. Preston St. Baltimore, MD 21201, L-3 Conference Room The final component of the PHASE internship will be a mandatory oral presentation summarizing the project findings at the PHASE symposium Friday May 9th, 2014 at the Department of Health and Mental Hygiene (DHMH) at 201 W. Preston St. Baltimore, MD 21201, L-3 Conference Room. Students will present at the May 9th, 2014 symposium regardless of when the internship ends (this is to allow all PHASE 2013-2014 students to present together). The student will prepare a concise 15-minute oral and visual presentation describing their PHASE internship project, outcomes, the public health significance and lessons learned from working with the assigned agency and then lead a 5-minute question and answer session. The Preceptors, PHASE faculty, and other invited guests (including public health practitioners, faculty members, interested students, etc.) will attend the symposium. The student’s presentation will be evaluated by the Course Directors and preceptor (see Appendix F for the Oral Presentation Evaluation Form). At least 1 week prior to the scheduled presentation date, students must review their presentation materials with their Preceptor and obtain their approval. Approval may be written directly on the presentation as a “comment” by the preceptor or by sending an email to the PM. Once approved by the preceptor, the student will submit the presentation in to the CoursePlus Drop Boxes.

Student Performance Evaluation 20% of the final course grade Due date for Preceptors: March 31, 2014 for projects ending 3rd term or May 16, 2014 for projects ending 4th term The Course Directors and Health Department Preceptor will fill out a final Student Performance Evaluation Form (see Appendix G).

Grading (Appendix H) The Course Directors will determine the student’s final grade (see Appendix H) as follows:

1. Completion of Internship Agreement Form 5% 2. Evaluation of Concept Paper 15% 3. Attendance at once a term PHASE Check-in Meetings 5% 4. Submission of PHASE Student Monthly Update Report 5% 5. Final Paper 25% 6. Evaluation of Oral Presentation 25% 7. Course Director / Preceptor final Performance Evaluation 20%

IRB Approval Certain internships projects will need to be submitted and reviewed by the JHSPH IRB and/or the DHMH IRB. PHASE course faculty will work with each student individually to identify their project’s requirements with regard to any IRB submissions and help coordinate any necessary submissions. Information about the IRB process and forms are available at the following web addresses: http://phirst.jhsph.edu/sph/ http://dhmh.maryland.gov/oig/irb/

Office Hours The PHASE Program Manager will hold office hours every Wednesday from 10:00 a.m. to 11:00 a.m. in

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room W1504. PHASE interns are welcome to come to the office hours to discuss any part of the PHASE internship, including any complications, issues, questions about course requirements, etc. Students are also welcome to schedule individual appointments with the PHASE PM or Course Director. IMPORTANT DATES/MEETINGS:

Assignment* % of Grade Due Date

Internship Agreement Form 5% November 8, 2013

Concept Paper 15% November 25, 2013

Monthly Update Report 5% 15th of every month

PHASE Check-in Meetings 5% Varies - see next table

Final Paper / Oral Presentation PPT

25%

March 14 (internship ends 3rd term) or May 5 (internship

ends 4th term)

PHASE Symposium at DHMH (201 W. Preston St. Baltimore, MD 21201, L-3

Conference Room) 25% May 9, 2014

Student Performance Evaluation (completed by preceptor/Course

Faculty) 20%

March 31, 2014 or May 16, 2014

* All assignments, unless stated otherwise are due at 11:59 PM on the due Date

**For all writing submissions, students must follow either APA or AMA styles for standard references, text, and tables

Meetings Date Room Number

Orientation Lunch Wed Oct 30 E9519

Check-in Term 2 Wed Dec 4 W2017

Check-in Term 3 Wed Feb 26 W2015

Check-in Term 4 Wed Apr 16 W2015

*Required to attend meetings for the terms enrolled in PHASE **Additional meetings may be scheduled as needed

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Appendix A PHASE Internship Check-list Date Due Completed? Activity During 1st term:

___/___/___ □ When you have been accepted, register for PHASE Internship course for the

number of credits allotted for your project.

___/___/___ □ Complete and sign the Internship Agreement Form with your Preceptor (due on

Friday, November 8, 2013 at 11:59 p.m.). During the first quarter of your internship (2nd term):

___/___/___ □ Prepare and submit your concept paper to Preceptor for feedback.

___/___/___ □ Complete any revisions requested/required on concept paper and obtain

Preceptor approval before submitting.

___/___/___ □ Submit concept paper (due on Monday, November 25, 2013 at 11:59 p.m.).

___/___/___ □ Prepare and submit any requested materials for IRB review (if appropriate).

___/___/___ □ Obtain IRB approval BEFORE you begin your project (if appropriate).

___/___/___ □ Begin working on your project. Remember to meet with your Preceptor at least

once every week.

___/___/___ □ Complete and submit PHASE Student Monthly Update Report every

month of the internship (due the 15th of each month of internship) At least 2 weeks before the final paper due date:

___/___/___ □ Submit the preliminary draft of your final paper to your Preceptor for feedback.

___/___/___ □ Complete any revisions requested/required on final paper and obtain Preceptor

approval before submitting. At least 1 week before your presentation:

___/___/___ □ Submit your PowerPoint presentation to your Preceptor for feedback.

___/___/___ □ Complete any revisions requested/required on presentation and obtain Preceptor

approval before submitting. End of the PHASE program:

___/___/___ □ Submit your final paper (March 14, 2014 at 11:59 p.m. for projects ending 3rd

term; May 5, 2014 at 11:59 p.m. for projects ending 4th term).

___/___/___ □ Present your findings at the PHASE Symposium (Friday, May 9th, 2014).

CONGRATULATIONS on your successful completion of the PHASE program!

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Appendix B PHASE Internship Agreement Form Description of the PHASE Internship Program The PHASE (Public Health Applications for Student Experience) is a credit-earning graduate internship program sponsored by the Maryland Department of Health and Mental Hygiene (DHMH) and the Johns Hopkins Bloomberg School of Public Health (JHSPH). PHASE offers JHSPH graduate students the opportunity to gain real world public health practice experience. Internships require students to synthesize, integrate and apply academic theory in public health practice settings. By working on-site, students see first-hand how public health agencies function and engage in public health decision-making. Public health practitioners mentor students as they complete their projects that range in scope from small focused initiatives to larger more intricate undertakings that can serve as the foundation for a thesis topic or Capstone experience. PHASE Internship Agreement Form The PHASE Internship Agreement Form is completed and signed by the Student Intern, the Preceptor, and the alternate preceptor with assistance from the PHASE course faculty as needed. This agreement outlines the roles and responsibilities of the Student Intern, Preceptor and PHASE course faculty. The goals, objectives, and deliverables of the Internship are also defined. The purpose is to ensure that all parties understand and agree upon the Internship activities. Preceptor Responsibilities

Identify an alternate preceptor for the student in the absence of the primary Preceptor

Provide adequate working space for the student as needed (e.g. computer, Internet, desk)

Review the organization’s policies and rules, as well as mission and goals with the student

Provide the student with any necessary background information and materials as warranted

Meet with the student regularly to provide necessary guidance and supervision, as well as establish and maintain project goals, objectives and timeline

Identify other experiences, outside of the practicum, that will expose the student to the “flavor” of working at the practicum site (e.g. staff meetings, conference calls, etc.) if available

Introduce the student to other key players involved (e.g. other staff at agency, outside agency members, etc.)

Provide formal feedback on the student’s progress to the PHASE course faculty at the mid-point and completion of the internship, as well as communicate with PHASE course faculty with regards to any issues or concerns throughout the internship

Student Intern’s Responsibilities

Work on-site at the agency and comply to the agency’s policies and rules

Complete course requirements, including PHASE Internship Agreement Form, IRB review process as warranted, Concept paper, Student Monthly Update Reports, Final paper, Final Presentation

Attend PHASE orientation and PHASE meetings

Provide formal feedback on internship progress at the mid-point and completion of internship

Remain in communication with the PHASE course faculty throughout the internship

Abide by the JHSPH Academic Ethics Code. Students are required to complete and review the Academic Ethics Module (https://apps4.jhsph.edu/academicethics/Login.aspx)

PHASE Course Faculty Responsibilities

Assist in framing the project’s specific goals and objectives to meet course requirements

Maintain communication with the student and Preceptor throughout the project as warranted, including addressing any concerns or problems

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Work with the student and Preceptor to evaluate the formal feedback on the progress of the internship at the mid-point and completion of the internship

Review the student’s Monthly Update Report and provide any guidance and technical assistance directly, or through referrals to other faculty and experts, as warranted

Be available for students and preceptors regarding any challenges or concerns during the internship, including office hours

Track and evaluate the student’s progress and completion of course requirements Student Intern Information Student Name (first and last): Student E-mail: Student Phone: Student Program: Agency/Preceptor Information Organization Name: Organization Address: Preceptor Name (first and last): Preceptor E-mail: Preceptor Phone: Alternate Preceptor Name (first and last): Alternate Preceptor E-mail: Alternate Preceptor Phone: Brief Description of Agency (mission, population focus): Brief Description of Internship Project (no more than 2 paragraphs, and includes project goals and objectives):

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Summary of Student Intern’s Duties (bullet points): Summary of Preceptor’s Duties (bullet points): Deliverables (final products for the agency): Start Date: _______________________ End Date: _______________________ Hours per week: _______________________ Statement of Agreement By signing below, I agree to the terms outlined in this PHASE Internship Agreement Form to the best of my abilities. Should there be any changes to or problems with the items outlined above, I will update all those involved, including the PHASE course faculty. I understand that the internship cannot officially begin until all parties have signed the Statement of Agreement, including the Preceptor, alternate Preceptor, Student Intern, and one PHASE Internship Coordinator. ______________________________________________________________________________ Preceptor (primary) Date ______________________________________________________________________________ Preceptor (alternate) Date ______________________________________________________________________________ Student Intern Date ______________________________________________________________________________ PHASE Course Faculty Date

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Appendix C Guidelines for Writing a Concept Paper The concept paper is an important part of the PHASE internship process because it will enable the student to describe and shape his/her project in collaboration with the preceptor and allow for feedback from course faulty. Format and Content All concept papers should include a cover page and a brief project description. 1. The Cover Page The cover page for the concept paper should contain:

A title describing the proposed project;

Student name and contact information;

Preceptor name, title, and contact information;

Alternate Preceptor name, title, and contact information; and

Estimated project timeline. 2. The Project Description The project description should not exceed 3-4 double-spaced pages with at least 1-inch margins and font size of at least 11. The project description must include the following:

Direct and explicit statement of the project scope, project question(s), and justification of need for the project (i.e. gaps in research, practice or policy area);

Clear statement of the project’s goals or objectives;

Discussion of the proposed approach and/or methodology. Include the data source(s), analytic procedures (if any), and time frame; and

Discussion of the public health significance (importance) of the proposed project and potential policy and/or practice implications.

3. Timeline The project timeline should demonstrate your plan to complete the work required over the 2-3 terms. The timeline should be no more than one double-spaced page. The timeline should:

Identify particular goals and/or objectives and when within the internship they should be completed; and

Reflect administrative deadlines and dates, such as: o Concept Paper o Draft of Final Paper o Draft of Oral Presentation o Final Paper and Oral Presentation o Regular meetings with Preceptor

o Monthly meetings with PHASE Course support team

o Any additional deadlines/dates

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Appendix D

PHASE Internship Mid-point Progress Report for ______________________________________________

(Student’s Name) Date: ___________________________ To submit online via the Qualtrics Survey Link: http://jhsph.co1.qualtrics.com/SE/?SID=SV_8j1EwpbPSueY4MB 1. Does the student demonstrate an understanding of the public health context of the project? (Consider the student’s understanding of the target population for the project and the nature of the problem and/or relevant risk factors)

A. NEVER B. RARELY C. SOMETIMES D. MOST OF THE TIME E. ALWAYS

Comments:

______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________

2. Are there any concerns or issues with the development of the project? (i.e. Is the student required to construct a survey instrument or surveillance system and is he/she experiencing difficulty in doing so? Problems with data analysis and/or interpretation of results?)

YES NO

Comments:

______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________

3. Are goals and objectives from week to week being met?

A. NEVER B. RARELY C. SOMETIMES D. MOST OF THE TIME E. ALWAYS

Comments:

______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________

4. Approximately, how much time is the student spending on his/her project on-site? ___________ hours/week

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Appendix D (continued) 5. Has the student participated in any division meetings, conference calls, or other organizational activities beyond the specific project?

YES NO

6a. If yes, please briefly describe:

______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________

6b. If no, please briefly describe the barriers that led the student to not participate in any organizational activities beyond the specific project. Can the PHASE Internship Program help resolve the barriers?

______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________

7. Please provide any additional feedback regarding the student’s progress (i.e. professional maturity, reliability, teamwork, flexibility, independent work, etc.).

______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________

8. Please provide any comments/feedback on the PHASE Internship Program (course structure, interaction with PHASE coordinators, etc.)?

______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________ 9. Any other comments or questions?

______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________

____________________________________________ Preceptor Date ____________________________________________ PHASE Course Faculty Date

Thank you very much for your participation in PHASE!

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Appendix E

PHASE Student Monthly Update Report: ______________________________________________

(Student’s Name)

Date: _____________________ Due the 15th of each month during the Internship **Please describe any challenges and proposed solutions in the ‘Comments’ sections for each question.** 1. Are you having any trouble understanding the public health context of the project? (ie. The project target population; and, the nature of the problem and/or relevant risk factors)

YES NO Comments: ____________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________

2. Are there any challenges with the development of the project? (i.e. Are you required to construct a survey instrument or surveillance system and are you experiencing difficulty in doing so? Challenges with data analysis and/or interpretation of results?)

YES NO Comments: ____________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________

3. Are goals and objectives from week to week being met?

YES NO Comments: ____________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________

4. How much time are you spending on your project on-site? ___________ hours/week 5. Have you participated in any division meetings, conference calls, or any other type of organizational activities beyond those directly related to your project? YES NO 6. If yes, briefly describe: __________________________________________________________________________________________________________________________________________________________________________________________ 7. Please comment on your working relationship with your preceptor and your satisfaction with the goals and

expectations of your project __________________________________________________________________________________________________________________________________________________________________________________________ 8. Please provide any additional feedback (i.e. lessons learned, anything surprising, frustrations, things you hope to improve on, what you hope to accomplish in the next month, etc.). __________________________________________________________________________________________________________________________________________________________________________________________ 9. Do you have any other comments on the PHASE program, monthly check-in meetings, course structure, etc.?

_____________________________________________________________________________________________

Student _______________________________________________Date __________________________________ PHASE course faculty _____________________________________Date __________________________________

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Appendix F Oral Presentation Evaluation Form PHASE Internship The Johns Hopkins University Bloomberg School of Public Health (for use by Course Faculty and Preceptor, used in assigning Internship Project final grade) Name of Student: _______________________________________________________________________ Evaluator’s Signature: ___________________________________________ Date: ___________________ The Internship Project is graded based on the depth of the student’s understanding of his/her project revealed by the oral presentation. For each section of the presentation, please comment using specific examples and also provide a numerical rating. 5 = Superior Accomplishments 4 = Commendable 3 = Competent 2 = Requires Improvement 1 = Unsatisfactory UNDERSTANDING OF THE PUBLIC HEALTH CONTEXT OF THE PROJECT Consider the student’s understanding of the special project topic and the target population for the project. Did the student provide sufficient background information regarding his/her project? Did the student define the objectives of his/her internship project?

□Comments:

METHODS/RESULTS/REPORT ON ACTIVITIES Consider the student’s performance in: conceptualizing the questions; planning the project; selecting and applying appropriate methods or instruments to achieve project objectives; and, analyzing information. Did the student present the methods used in a succinct manner? Do the results make sense?

□Comments:

DISCUSSION/CONCLUSION/LESSONS LEARNED Consider the student’s skills in: analysis of data and interpretation of results; ability to discuss and draw conclusions from results; ability to recognize gaps in project; and lessons learned.

□Comments:

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Appendix F (continued) COMMUNICATION SKILLS Consider the student’s skills in: general oral communication; visual presentation of data; clarity and organization of presentation; ability to speak succinctly (did not exceed time limit of 30 minutes); appropriate use of PowerPoint; and, ability to handle questions efficiently and effectively.

□Comments:

OVERALL QUALITY OF WORK ON THIS PROJECT

□Comments:

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Appendix G Student Performance Evaluation PHASE Internship The Johns Hopkins University Bloomberg School of Public Health (for use by Preceptor and Course Directors) To submit online via the Qualtrics Survey Link: http://jhsph.co1.qualtrics.com/SE/?SID=SV_8rjfembk2Q4Qltr Thank you for taking the time to supervise and evaluate this student. Your evaluation will be weighed when grading the student’s internship project. We strongly encourage you to discuss your assessment of the student’s performance directly with the student. Name of Student: Date: Name of Preceptor: Title: Preceptor’s e-mail: Phone: Organization/Office and mailing address: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please return this evaluation to:

Jennifer Le [email protected]

PART I: CONTACT WITH THE STUDENT Student projects vary in scope of work, duration, and level of supervision. Some preceptors know the student through other work and projects; others do not. The following questions will help us understand your level of involvement with this student. How many times did you meet with the student to discuss the details of the internship project before the concept paper was written? (Including in person, on the phone or via e-mail). A. One time B. 2-5 times C. >5 times Did the student consult with you while developing the concept paper? YES NO If YES, how much guidance did you provide on the paper? A. No comments given B. Very little C. Some D. A lot E. Extensive

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Appendix G (page 2) Did the student complete the concept paper by the set due date? YES NO If NO, when did the student complete the paper? _________________ Did the student work on site? YES NO If YES, how many hours per week? _________________ If NO, please provide rationale as to why not. ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Did you meet with the student on a bi-weekly basis? YES NO If NO, please indicate how often you met ________________________________________________________________________________________ Did the student consult with you while developing the final paper? YES NO If YES, how much guidance did you provide on the final paper? A. No comments given B. Very little C. Some D. A lot E. Extensive Did you read or see a practice session of the student’s final presentation? YES NO If YES, how much guidance did you provide on the final presentation? A. No comments given B. Very little C. Some D. A lot E. Extensive

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Appendix G (page 3) PART 2: PERFORMANCE EVALUATION 5 = Superior Accomplishments 4 = Commendable 3 = Competent 2 = Requires Improvement 1 = Unsatisfactory NA = Not Applicable Please base your evaluation on the student’s performance on this particular project. Use the scale above to rate the student on each area. Your written comments are a very valuable part of the evaluation; use specific examples whenever possible. UNDERSTANDING OF THE PUBLIC HEALTH CONTEXT OF THE PROJECT

□Consider the student’s understanding of: the special project topic; the target population for the

project; and, the nature of the problem and/or relevant risk factors. Comments: RESEARCH AND PROGRAM SKILLS

□Consider the student’s ability to: conceptualize the questions; select and apply the appropriate

methods to achieve the objectives (instruments, etc.); and, analyze information and interpret results. Comments: COMMUNICATION SKILLS

□Consider the student’s skills in: general oral communication; writing; visual presentation of data and

information; and oral presentation. Comments:

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Appendix G (page 4) PROFESSIONAL CHARACTERISTICS

□Consider the student’s: reliability; professional maturity/judgment; initiative; ability to seek advice

appropriately; response to feedback/ability to accept criticism; ability to work as part of a team; ability to be flexible; ability to work independently; organizational skills; and, ability to meet deadlines. Comments:

□OVERALL QUALITY OF WORK ON THIS PROJECT

Comments: Have you discussed this evaluation with the student? YES NO If NO, would you be willing to let the student read this evaluation? YES NO

________________________________________________________________________________________

Evaluator’s signature Date Thank you for your work with the student and for taking the time to fill out this evaluation. Concerns or questions about the internship project process, this evaluation, or this student should be directed to the course director listed on the first page of this form.

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Appendix H Final Evaluation PHASE Internship The Johns Hopkins University Bloomberg School of Public Health GRADING COMPONENTS: (Percent Grade Contribution) 1. Internship Agreement Form _______ (5%) 2. Concept Paper _______ (15%) 3. Attendance at PHASE Meetings once per term _______ (5%) 4. Submission of monthly PHASE Student _______ (5%) Monthly Update Report 5. Final Paper Evaluation _______ (25%) 6. Oral Presentation Evaluation _______ (25%) 7. Faculty & Preceptor Evaluation _______ (20%)

FINAL GRADE _______

Consider student’s understanding of the special project topic; the target population for the project; and, the nature of the problem and/or relevant risk factors. Also consider the student’s ability to conceptualize the questions, plan the project, and write an organized and coherent proposal.